PETTY CASH VOUCHER
(PCV)
INSTRUCTIONS
A. The form shall be accomplished as follows:
1. Entity Name – name of the agency/entity
2. Fund Cluster – the fund cluster
name/code in accordance with the UACS
3. No. – number assigned to the PCV by the
PCFC. It shall be numbered as follows:
0000- 0000-00-0000
Serial number (one
series for each year)
Month
Year
Petty Cash
Custodian Code
3. Date – date of the preparation of PCV
4. Payee/Office and Address
name/office/address of payee/employee
requesting cash advance charged to the
PCF
5. Responsibility Center Code – the cost/
responsibility center code of the requesting
office
I. To be filled out upon request
6. Particulars – brief description of the
nature of disbursement/expense
7. Amount – amount of petty cash requested
8. Box A – Requested by – shall be signed
by the Requestor
9. Box A – Approved by - shall be signed by
the Immediate Supervisor of the Requestor
128
10. Box B - Paid by – shall be signed by
the PCFC
11. Box B - Cash Received by – shall be
signed by the recipient of cash
II. To be filled out upon liquidation
12. Total Amount Granted – the amount
of cash received by the claimant
13. Total Amount Paid Per OR/Invoice
No. _______ – the total amount paid
as shown in the OR/invoice presented
14. Amount Refunded/Reimbursed –
the difference between the total
amount granted less amount spent
15. Box C – the PCFC shall check the
appropriate box for “Received
Refund” or “Reimbursement Paid”
and affix his/her signature
– 16. Box D – the payee shall check the
appropriate box for “Liquidation
Submitted” and/or “Reimbursement
Received by” and affix his/her
signature
B. Part I shall be filled out upon request of
the petty cash advance and Part II shall be
filled out upon liquidation.
C. The PCV shall be prepared in two copies
distributed as follows:
Original – to be attached to the RPPCV
together with the supporting
documents
Copy 2 – PCFC file